2016 ASHP Pediatric Pharmacy Specialty Review and Recertification Course
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2016 ASHP Pediatric Pharmacy Specialty Review and Recertification Course AGENDA SATURDAY, JUNE 11TH 7:30 a.m. – 8:05 a.m. Welcome/Introductions and Tips for Success Jamie Miller, Pharm.D., BCPS, BCPPS 8:05 a.m. – 9:35 a.m. Complex Case: Neonatal Sepsis Jamie Miller, Pharm.D., BCPS, BCPPS ACPE Number: 0204-0000-16-941-L01-P Application-based: 1.5 credit hours Objectives: At the end of the presentation, the pharmacist should be able to: 1. Correctly answer case-based questions about appropriate treatment and monitoring of a complex neonatal patient with multiple conditions, including patent ductus arteriosus, apnea of prematurity, early and late onset sepsis, and necrotizing enterocolitis. 2. Evaluate the clinical and therapeutic implications of placental transfer of medications. 3. Identify age-specific pharmacokinetic differences among neonates, infants, children, and adolescents. 4. Incorporate FDA Alerts for adverse drug events and drug-drug interactions into clinical practice. 9:35 a.m. – 9:50 a.m. Break 9:50 a.m. – 11:20 a.m. Complex Case: Acute Lymphoblastic Leukemia and Supportive Care Jennifer Thackray, Pharm.D., BCPS, BCPPS ACPE Number: 0204-0000-16-942-L01-P Application-based: 1.5 credit hours Objectives: At the end of the presentation, the pharmacist should be able to: 1. Correctly answer case-based questions about appropriate treatment and monitoring of a complex pediatric patient with multiple conditions, including acute lymphoblastic leukemia (ALL), tumor lysis syndrome, febrile neutropenia, invasive aspergillosis infection, and Clostridium difficile infection. 2. Select appropriate medication dose modifications related to hepatic impairment. Page 1 of 8
2016 ASHP Pediatric Pharmacy Specialty Review and Recertification Course SATURDAY, JUNE 11TH (CONT.) 11:20 a.m. – 11:50 a.m. Regulatory and IRB Considerations Peter N. Johnson, Pharm.D., BCPS, BCPPS ACPE Number: 0204-0000-16-943-L03-P Knowledge-based: 0.5 credit hours Objectives: At the end of the presentation, the pharmacist should be able to: 1. Identify appropriate off-label use of medications in the pediatric population. 2. Recognize Institutional Review Board (IRB) requirements for documentation of clinical studies. 3. List characteristics of patients who require informed assent/consent. 4. Recognize federal legislation relevant to the use of medications in pediatric patients. 11:50 a.m. – 1:05 p.m. Lunch 1:05 p.m. – 2:35 p.m. Complex Case: Deep Vein Thrombosis and Metabolic Syndrome Kelly L. Matson, B.S.Nutr., Pharm.D., BCPPS ACPE Number: 0204-0000-16-944-L01-P Application-based: 1.5 credit hours Objectives: At the end of the presentation, the pharmacist should be able to: 1. Correctly answer case-based questions about appropriate treatment and monitoring of a complex pediatric patient with multiple conditions, including deep vein thrombosis, type 2 diabetes mellitus, dyslipidemia, and hypertension. 2. Identify resources and treatment options for sexually transmitted infections. 3. Select appropriate monitoring considerations of anticoagulation medications. 4. Recognize the impact of pharmacogenomic differences on warfarin therapy. Page 2 of 8
2016 ASHP Pediatric Pharmacy Specialty Review and Recertification Course SATURDAY, JUNE 11TH (CONT.) 2:35 p.m. – 4:05 p.m. Complex Case: Diabetic Ketoacidosis Rachel Meyers, Pharm.D., BCPS, BCPPS ACPE Number: 0204-0000-16-945-L01-P Application-based: 1.5 credit hours Objectives: At the end of the presentation, the pharmacist should be able to: 1. Correctly answer case-based questions about appropriate treatment and monitoring of a complex pediatric patient with multiple conditions, including diabetic ketoacidosis, type 1 diabetes mellitus, and urinary tract infection. 2. Calculate maintenance and replacement fluid requirements and urine output. 3. Identify factors affecting medication adherence. 4. Determine appropriate dosing of insulin based on patient age and weight. 5. Select an effective method of delivery for insulin. 4:05 p.m. – 4:20 p.m. Break 4:20 p.m. – 5:50 p.m. Complex Case: Acute Asthma Jill A. Morgan, Pharm.D., BCPS, BCPPS ACPE Number: 0204-0000-16-946-L01-P Application-based: 1.5 credit hours Objectives: At the end of the presentation, the pharmacist should be able to: 1. Correctly answer case-based questions about appropriate treatment and monitoring of a complex pediatric patient with multiple conditions, including acute and chronic asthma, ADHD, acne and GERD. 2. Evaluate essential components of social history, including smoke exposure and home environment. 3. Formulate a plan to address barriers to patient education and adherence, including age, language, cultural considerations, and inhaler technique. 4. Describe the impact of age on classification and management of asthma. 5. Assess available resources to improve access to medications, including patient assistance programs. Page 3 of 8
2016 ASHP Pediatric Pharmacy Specialty Review and Recertification Course SUNDAY, JUNE 12TH 7:30 a.m. – 7:35 a.m. Announcements 7:35 a.m. – 8:35 a.m. Research Design, Evidence-Based Medicine and Statistical Analysis, Part 1 Linda Tyler, Pharm.D., FASHP ACPE Number: 0204-0000-16-947-L04-P Application-based: 2 credit hours Objectives: At the end of the presentation, the pharmacist should be able to: 1. Interpret biomedical literature with regard to study design, methodology, statistical analysis, and significance and applicability of reported data and conclusions. 2. Summarize key points from the most current pharmacy practice literature. 3. Explain the use of evidence-based treatment guidelines and protocols. 8:35 a.m. – 8:50 a.m. Break 8:50 a.m. – 9:50 a.m. Research Design, Evidence-Based Medicine and Statistical Analysis, Part 2 Linda Tyler, Pharm.D., FASHP *See Part 1 Above 9:50 a.m. – 10:00 a.m. Break 10:00 a.m. – 10:15 a.m. Board of Pharmacy Specialties Examination Overview Brian Lawson, Pharm.D. 10:15 a.m. – 11:45 a.m. Complex Case: Sickle Cell Disease with Vaso-Occlusive Crisis Emily S. Waite, Pharm.D., BCOP ACPE Number: 0204-0000-16-948-L01-P Application-based: 1.5 credit hours Objectives: At the end of the presentation, the pharmacist should be able to: 1. Correctly answer case-based questions about appropriate treatment and monitoring of a complex pediatric patient with multiple conditions, including a vaso-occlusive crisis, cellulitis, constipation, and need for immunizations. 2. Select most appropriate patient controlled analgesia regimen based on vaso-occlusive crisis severity. 3. Identify required immunizations for adolescents, including patients with risk factors for vaccine-preventable diseases. 4. Apply pharmacodynamic principles when selecting appropriate antibiotic regimens. Page 4 of 8
2016 ASHP Pediatric Pharmacy Specialty Review and Recertification Course Sunday, June 12th (Cont.) 11:45 a.m. – 1:00 p.m. Lunch 1:00 p.m. – 2:30 p.m. Complex Case: Medication Error & Practice Management Lisa Thames, Pharm.D., BCPS ACPE Number: 0204-0000-16-949-L05-P Application-based: 1.5 credit hours Objectives: At the conclusion of this activity, the participant should be able to incorporate position statements, white papers, national guidelines from recognized regulatory organizations into institutional policies and procedures related to: 1. Medication reconciliation 2. Appropriate drug preparation and delivery (e.g., extemporaneous compounding and standardized concentrations) 3. Selecting equipment/technology and decision support 4. Adverse drug event monitoring and reporting 5. Metrics for evaluating quality of pediatric pharmacy services. 2:30 p.m. – 4:00 p.m. Complex Case: Pneumonia and Septic Shock Kaitlin Hughes, Pharm.D., BCPPS ACPE Number: 0204-0000-16-950-L01-P Application-based: 1.5 credit hours Objectives: At the end of the presentation, the pharmacist should be able to: 1. Correctly answer case-based questions about appropriate treatment and monitoring of a complex pediatric patient with multiple conditions, including pneumonia, septic shock, acute kidney injury, and parenteral nutrition. 2. Calculate creatinine clearance, fluid requirements, and urine output in pediatric patients. 3. Select appropriate dosing for medications based on renal dysfunction and/or replacement modalities. 4. Differentiate vital signs between stable and critically ill pediatric patients. 4:00 p.m. – 4:15 p.m. Break Page 5 of 8
2016 ASHP Pediatric Pharmacy Specialty Review and Recertification Course Sunday, June 12th (Cont.) 4:15 p.m. – 5:45 p.m. Complex Case: Status Epilepticus and Cardiopulmonary Resuscitation Peter N. Johnson, Pharm.D., BCPS, BCPPS ACPE Number: 0204-0000-16-951-L01-P Application-based: 1.5 credit hours Objectives: At the end of the presentation, the pharmacist should be able to: 1. Correctly answer case-based questions about appropriate treatment and monitoring of a complex pediatric patient with multiple conditions and needs, including status epilepticus, cardiopulmonary resuscitation, and sedation/analgesia. 2. Differentiate treatment options in cardiopulmonary arrest based on patient presentation. 3. Select the appropriate dose and route of administration for medications. 4. Assess the need and processes for reporting adverse drug events. 5. Identify cultural considerations related to treatment and counseling of the pediatric population. 6. Distinguish between the four preceptor roles. 5:45 p.m. – 6:00 p.m. Closing Remarks Page 6 of 8
2016 ASHP Pediatric Pharmacy Specialty Review and Recertification Course ACCREDITATION FOR PHARMACISTS The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. FACULTY Kaitlin Hughes, Pharm.D., BCPPS Clinical Pharmacy Specialist Pediatric Surgery Adjunct Clinical Instructor C.S. Mott Children’s Hospital Ann Arbor, Michigan Peter N. Johnson, Pharm.D., BCPS, BCPPS* Associate Professor of Pharmacy Practice University of Oklahoma College of Pharmacy Clinical Pharmacy Specialist – Pediatric Critical Care The Children's Hospital at OU Medical Center Oklahoma City, Oklahoma Kelly L. Matson, B.S.Nutr., Pharm.D., BCPPS Clinical Associate Professor University of Rhode Island Kingston, Rhode Island Rachel Meyers, Pharm.D., BCPS, BCPPS Clinical Associate Professor Ernest Mario School of Pharmacy, Rutgers University Piscataway, New Jersey Pediatric Clinical Pharmacist Saint Barnabas Medical Center Livingston, New Jersey Jamie Miller, Pharm.D., BCPS, BCPPS* Associate Professor University of Oklahoma College of Pharmacy Oklahoma City, Oklahoma Jill A. Morgan, Pharm.D., BCPS, BCPPS Associate Professor and Chair Department of Pharmacy Practice and Science University of Maryland School of Pharmacy Baltimore, Maryland Page 7 of 8
2016 ASHP Pediatric Pharmacy Specialty Review and Recertification Course Faculty (Cont.) Jennifer Thackray, Pharm.D., BCPS, BCPPS* Pediatric Oncology Clinical Pharmacy Specialist Memorial Sloan Kettering Cancer Center New York, New York Lisa Thames, Pharm.D., BCPS Assistant Director, Clinical Pharmacy Services UF Health Shands Hospital Gainesville, Florida Linda Tyler, Pharm.D., FASHP Chief Pharmacy Officer University of Utah Hospitals & Clinics Salt Lake City, Utah Emily S. Waite, Pharm.D., BCOP Pediatric Hematology/Oncology Pharmacist Children's of Alabama Birmingham, Alabama *Content matter experts Page 8 of 8
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